5-Scrutinized.pdf
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- Solicitation number
- 2026015
- Issued by
- Indian River County, Florida
About this file
This is a certification form required for bid submission on a Florida state and local contract opportunity for Operations of the Biosolids Dewatering Facility, Sludge Dewatering, and Hauling. The form serves as a compliance document that respondents must complete and submit with their bid or proposal to certify that neither the respondent entity nor any of its subsidiaries, parent companies, or affiliates have been placed on Florida's Scrutinized Companies that Boycott Israel List or are engaged in a boycott of Israel. For contracts valued at one million dollars or more, respondents must additionally certify that they are not on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaged in business operations in Cuba or Syria as defined under Florida Statutes sections 215.473 and 215.4725.
The County reserves the right to immediately terminate any resulting contract upon written notice if the respondent or related entities are found to have submitted false certification or subsequently appear on the applicable scrutinized companies lists or become engaged in prohibited business activities. Authorized representatives of the respondent must sign the certification form and provide their printed name, title, date, and firm or entity name. Failure to submit this completed certification with the bid will result in bid rejection, making this a mandatory compliance requirement for all prospective contractors.
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Text version
CERTIFICATION REGARDING PROHIBITION AGAINST
CONTRACTING WITH SCRUTINIZED COMPANIES
(This form MUST be submitted with your bid/proposal/SOQ)
I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit have been placed on the Scrutinized Companies that Boycott Israel List created pursuant to s. 215.4725 of the Florida Statutes, or are engaged in a boycott of Israel.
In addition, if this solicitation is for a contract for goods or services of one million dollars or more, I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit are on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473 of the Florida Statutes, or are engaged in business operations in Cuba or Syria as defined in said statute.
I understand and agree that the County may immediately terminate any contract resulting from this solicitation upon written notice if the undersigned entity (or any of those related entities of respondent as defined above by Florida law) are found to have submitted a false certification or any of the following occur with respect to the company or a related entity: (i) it has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, or (ii) for any contract for goods or services of one million dollars or more, it has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or it is found to have been engaged in business operations in Cuba or Syria.
Name of Respondent: ___________________________________
By: ________________________________________________ (Authorized Signature)
Name:
Title: ______________________________________________
Date:_____________________________
| Name: |
| Title: |
| Date: |
| Firm/Entity: |
File details come from the government source that posted it. Updated .